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Almaata Declaration en PDF
Almaata Declaration en PDF
and families in the community through their full participation and at a cost that the
community and country can afford to maintain at every stage of their development in the
spirit of selfreliance and self-determination. It forms an integral part both of the country's
health system, of which it is the central function and main focus, and of the overall social
and economic development of the community. It is the first level of contact of individuals,
the family and community with the national health system bringing health care as close as
possible to where people live and work, and constitutes the first element of a continuing
health care process.
VII
Primary health care:
1. reflects and evolves from the economic conditions and sociocultural and political
characteristics of the country and its communities and is based on the application
of the relevant results of social, biomedical and health services research and
public health experience;
2. addresses the main health problems in the community, providing promotive,
preventive, curative and rehabilitative services accordingly;
3. includes at least: education concerning prevailing health problems and the
methods of preventing and controlling them; promotion of food supply and proper
nutrition; an adequate supply of safe water and basic sanitation; maternal and
child health care, including family planning; immunization against the major
infectious diseases; prevention and control of locally endemic diseases;
appropriate treatment of common diseases and injuries; and provision of essential
drugs;
4. involves, in addition to the health sector, all related sectors and aspects of national
and community development, in particular agriculture, animal husbandry, food,
industry, education, housing, public works, communications and other sectors;
and demands the coordinated efforts of all those sectors;
5. requires and promotes maximum community and individual self-reliance and
participation in the planning, organization, operation and control of primary
health care, making fullest use of local, national and other available resources;
and to this end develops through appropriate education the ability of communities
to participate;
6. should be sustained by integrated, functional and mutually supportive referral
systems, leading to the progressive improvement of comprehensive health care for
all, and giving priority to those most in need;
7. relies, at local and referral levels, on health workers, including physicians, nurses,
midwives, auxiliaries and community workers as applicable, as well as traditional